Michael P Bourgoin (NPI# 1720197361, PAC ID# 1557371739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1720197361 |
| PAC ID by PECOS | 1557371739 |
| Professional Enrollment ID | I20060503000323 |
| Full Name | Michael P Bourgoin |
| Organization Legal Name | CUSTOM EYES OPTOMETRY INC |
| Address |
1835 Newport Blvd A111 Costa Mesa CA 92627-5007 |
| Phone Number | 9496464949 |
| Gender | M |
| Credential | OD |
| Graduation Year | 1992 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8820008006 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1835 Newport Blvd, A111, Costa Mesa, CA 92627-5007 | 9496464949 | CUSTOM EYES OPTOMETRY INC |
| Organization Legal Name | CUSTOM EYES OPTOMETRY INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean Yoo-bourgoin | Optometry | Custom Eyes Optometry Inc | 1835 Newport Blvd, A111, Costa Mesa, CA 92627-5007 |
| Street Address |
1835 NEWPORT BLVD A111 |
| City | COSTA MESA |
| State | CA |
| Zip | 92627-5007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farshad Saghatchi | Oral Surgery | 1835 Newport Blvd, E267, Costa Mesa, CA 92627-5013 | |
| Jean Yoo-bourgoin | Optometry | Custom Eyes Optometry Inc | 1835 Newport Blvd, A111, Costa Mesa, CA 92627-5007 |
| Gregory L Brown | Chiropractic | Anna Steiner Medical, Inc. | 1835 Newport Blvd, D251, Costa Mesa, CA 92627-5013 |
| Sean Ataee | Physical Medicine and Rehabilitation | Anna Steiner Medical, Inc. | 1835 Newport Blvd, D251, Costa Mesa, CA 92627-5013 |
| Daniel B Knudson | Chiropractic | Anna Steiner Medical, Inc. | 1835 Newport Blvd, D251, Costa Mesa, CA 92627-5013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Babak Shahrestani | Chiropractic | 2328 Newport Blvd, Costa Mesa, CA 92627-1548 | |
| Khiem D Dao | Orthopedic Surgery | 2314 Newport Blvd, Costa Mesa, CA 92627-1548 | |
| Sean Kim | Physical Therapy | Progressive Physical Therapy and Rehabilitation Inc | 129 W Wilson St, Suite 202, Costa Mesa, CA 92627-1586 |
| Moira Docherty | Physical Therapy | Progressive Physical Therapy and Rehabilitation Inc | 129 W Wilson St, Suite 202, Costa Mesa, CA 92627-1586 |
| Michael K Mckindley | Physical Therapy | Progressive Physical Therapy and Rehabilitation Inc | 129 W Wilson St, Suite 202, Costa Mesa, CA 92627-1586 |
| Ann Ludolph | Physical Therapy | Progressive Physical Therapy and Rehabilitation Inc | 129 W Wilson St, Suite 202, Costa Mesa, CA 92627-1586 |
| Derek D Duong | Oral Surgery | 2263 Fairview Rd, Suite K, Costa Mesa, CA 92627-1672 | |
| Jennifer Joseph Baltazar | Physician Assistant | John F. Lalonde, D.o., Inc. | 2216 Newport Blvd, Costa Mesa, CA 92627-1711 |
| Rachna J Lalonde | Physical Therapy | 2216 Newport Blvd, Costa Mesa, CA 92627-1711 | |
| John F Lalonde | Family Medicine | John F. Lalonde, D.o., Inc. | 2216 Newport Blvd, Costa Mesa, CA 92627-1711 |
| Find all physicians in zip 92627 | |||
| City | COSTA MESA |
| Zip Code | 92627 |
| Specialty | OPTOMETRY |
| City + Specialty | COSTA MESA + OPTOMETRY |
Please comment or provide details below to improve the information on Michael P Bourgoin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.